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Application for Professional Development Courses

Thank you for choosing to further your education with the Centre for Distance Education! Please continue below with the cost-free application form for enrollment in the program of your choice.

Fields marked with an asterisk (*) are required.

What's your title?
Please enter a valid date with format YYYY/MM/DD?
What's your first name?
What's your last name?
Please provide a valid email address.
Please provide a valid phone number.
Please provide a valid phone number.

Address

What is your street address?
What city do you live in?
What state do you live in?
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I want to register for the following instructor-supported distance education Professional Development course(s) (select one or more): *













Please select at least one course

Please confirm you graduated from High School.
Please provide the name of the school.






Please provide your method of payment

Please agree with the Terms & Conditions

By submitting this form, you are giving your express written consent for Centre for Distance Education to contact you regarding our programs and services using email, telephone or text - including our use of automated technology for calls and periodic texts to any wireless number you provide. Message and data rates may apply. This consent is not required to purchase goods/services and you may always call us directly at 1-866-446-5898.

Please agree to the terms.
What is your full name?